切换至 "中华医学电子期刊资源库"

中华医学超声杂志(电子版) ›› 2022, Vol. 19 ›› Issue (01) : 86 -88. doi: 10.3877/cma.j.issn.1672-6448.2022.01.017

病例报告

乳腺结节旋切术后假性动脉瘤微波消融治疗二例
吕祝英1, 李明奎2, 蔡珍玉3, 雷志锴4,()   
  1. 1. 310002 杭州市肿瘤医院超声科
    2. 311202 杭州,浙江萧山医院超声科
    3. 310022 杭州,浙江省医疗健康集团杭州医院超声科
    4. 310003 杭州,浙江大学医学院附属杭州市第一人民医院超声科
  • 收稿日期:2021-07-19 出版日期:2022-01-01
  • 通信作者: 雷志锴

Microwave ablation treatment for breast pseudoaneurysm following minimally invasive mammotome biopsy ofbreast nodules: report of two cases

Zhuying Lv1, Mingkui Li2, Zhenyu Cai3   

  • Received:2021-07-19 Published:2022-01-01
引用本文:

吕祝英, 李明奎, 蔡珍玉, 雷志锴. 乳腺结节旋切术后假性动脉瘤微波消融治疗二例[J]. 中华医学超声杂志(电子版), 2022, 19(01): 86-88.

Zhuying Lv, Mingkui Li, Zhenyu Cai. Microwave ablation treatment for breast pseudoaneurysm following minimally invasive mammotome biopsy ofbreast nodules: report of two cases[J]. Chinese Journal of Medical Ultrasound (Electronic Edition), 2022, 19(01): 86-88.

图1 乳腺假性动脉瘤患者彩色多普勒超声检查示左乳外上象限低回声团块(蓝色框内),呈“阴阳征”(箭头所示)
图2 乳腺假性动脉瘤患者彩色多普勒超声检查示周边小动脉进入瘤体内
图3 乳腺假性动脉瘤患者压迫治疗1周超声检查示无回声明显增大(箭头所示)
图4 乳腺假性动脉瘤患者消融术后瘤体回声增强,彩色多普勒示瘤体内部及周边无血流信号
图5 乳腺假性动脉瘤患者右乳外上象限不均匀低回声,内侧边缘见1.1 cm×0.7 cm搏动性无回声区(箭头所示)
图6 乳腺假性动脉瘤患者彩色多普勒超声显示无回声区内见红蓝血流信号交替
1
李海华, 唐红. 超声引导注射凝血酶治疗股动脉假性动脉瘤的研究进展 [J]. 西部医学, 2019, 31(3): 490-493.
2
Snow H, Cham A, Dow C, et al. True aneurysm of the breast [J]. Breast J, 2013, 19(4): 444-445.
3
Adler K, Samreen N, Glazebrook KN, et al. Imaging features and treatment options for breast pseudoaneurysms after biopsy: a case-based pictorial review [J]. J Ultrasound Med, 2020, 39(1): 181-190.
4
Erdil I, Dursun M, Salmaslioglu A, et al. Pseudoaneurysm in the breast after core biopsy: doppler US and MRI findings [J]. Breast J, 2010, 16(4): 427-429.
5
AI Hadidy AM, AI Najar MS, Farah GR, et al. Pseudoaneurysm of the breast after blunt trauma: successful treatment with ultrasound-guided compression [J]. J Clin Ultrasound, 2008, 36(7): 440-442.
6
Eli E, Ansari H, Williams J, et al. Successful treatment of a two centimeter breast pseudoaneurysm with thrombin injection [J]. Breast J, 2012, 18(3): 292-293.
7
Bazzocchi M, Francescutti GE, Zuiani C, et al. Breast pseudoaneurysm in a woman after core biopsy: percutaneous treatment with alcohol [J]. AJR Am J Roentgenol, 2002, 179(3): 696-698.
8
Sun S, Hennessey H, Nakch IK, et al. Compression-refractory breast hematoma secondary to pseudoaneurysm after stereotactically guided vacuum-assisted biopsy: the critical role of urgent surgical evacuation [J]. J Clin Ultrasound, 2014, 42(8): 492-494.
9
Russell T, Creagh-Barry M. Breast pseudoaneurysm arising from core needle biopsy should be left well alone [J]. BMJ Case Rep, 2017, 2017: bcr-2017-221546.
10
王吉明, 隆洪木, 陈先锋. 微波消融辅助治疗严重外伤性肝破裂的临床应用 [J]. 局解手术学杂志, 2017, 26(12): 886-888.
11
Sun Y, Cheng Z, Dong L, et al. Comparison of temperature curve and ablation zone between 915- and 2450-MHz cooled-shaft microwave antenna: results in ex vivo porcine livers [J]. Eur J Radiol, 2012, 81(3): 553-557.
12
孙媛媛, 张国明, 董磊, 等. 超声造影引导下915MHz微波经皮消融活体犬肾动脉活动性出血的止血研究 [J/CD]. 中华临床医师杂志(电子版), 2013, 7(14): 6443-6447.
13
Ingram AD, Mahoney MC. An overview of breast emergencies and guide to management by interventional radiologists [J]. Tech Vasc Interv Radiol, 2014, 17(1): 55-63.
14
Bitencourt AG, Cohen MP, Graziano L, et al. Pseudoaneurysm after ultrasound-guided vacuum-assisted core breast biopsy [J]. Breast J, 2012, 18(2): 177-178.
No related articles found!
阅读次数
全文


摘要